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HomeMy WebLinkAboutIMPV-07-2022-176139.TIF .,14'13 • CATAWBA COUNTY an 1. Public I lcalth Department Subdivision < �� Y Environmental health Division PIN# 470001199588 PO Box 359,25 Government Drive,Newton,NC 25655 LOT# /g 2 w Site Address: 1634 BROWN CHAPEL RD, CATAWBA NC 28609 Name on Permit: RICK EARNHARDT Property Size: Acres 37.12 Directions: E NC 10 Hwy Right Hudson Chapel Rd right Brown Chapel rd Approx .7 miles on Left Owner/Authorized Representative Acknowledgement of Permit Receipt xyyscertify that I am the owner or authorized agent(owner's authorization required)representing the owner of `' the property described above. Y s the property owner or authorized representative, I have received the above referenced /` ermit(s)as requested in the application for service R13PR-04-2022-40730, by the following method(s): JReceived in Person Facsimile Transmittal (Return form with signature required) Electronic Image Transmittal/ E-mail (Return receipt required) atiAs the property owner or authorized representative I have reviewed and understand the specific conditions of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems (15A NCAC I8A.1900), and/or Well Construction Standards(15A NCAC 2C .0100), shall apply to the issuance of this permit and the construction of the wastewater system and/or water supply well permitted. Permit Issue Date: 07/20/2022 Owner/Authorized Representative Signatu e 2 Date d - 2, 2 ' 2 ) Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature Date/Time Method: Fax Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoiPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService elgannit 07/22/2022 0520 yyy"• CATAWBA COUNTY Case IMI'V-07-2022-176139 Q- r I Public Health Department Subdivision < LfiJ[! ', - Environmental Health Division1. 1'INII 470001199588 PO Box 389,25 Government Drive,Newton,NC 28658 LO'I'p Site Address: 1634 BROWN CHAPEL RD, CATAWBA NC 28609 Name on Permit: RICK EARNHARDT • Property Size: Acres 37.12 Directions: E NC 10 Hwy Right Hudson Chapel Rd right Brown Chapel rd Approx.7 miles on Left Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS • THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 360 g.p.d Type of Facility: Primary Residence Basement? Yes Basement Plumbing? Yes Bedrooms: 3 Water Supply: Private Well Maximum Occupants: 6 • INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to approve the initial system installation.or the suspension/revocation of existing permits. The issuance of this permit by the Ilcalth Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Penn it is not a leeled by a change in ownership of the property. This permit was issued in compliance with the provisions of the Not th Carolina'Laws and Rides for Sen'uve 7reamtent and Disposal Systems' (I5A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any penis it issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental health of this change prior to system installation_ 07/20/2022 Authorized State Agent Penn it Isnnmee Date 7/20/2027 Permit Expiration Date No grading or construction activity is allowed in woos designated for system and repair without((plumed of the Health Department. ehlennit 07/22/2022 08:20 iP, Aci 1 RaPQ 04- Lo22- yolSo Catawba County Environmental Health R oT-zort— 174 /%( pr 07- Loz2-174/31 •1688 _, . 2....,, . o, sr �, S„ 3� \t,• j�/�/' ,, :i)),�.. Z4o' fr.(�VW Gl, ^,n Watt art N N . �+ m to efii 148.O2 100.00 Parcel: 470001294409, 1634 BROWN CHAPEL 1 in=100ft RD CATAWBA, 28609 This map/report product was prepared horn the Catawba County,NC Geospatial Int'ormatbn Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent vedflcatbn of any data contained on this mapheport product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2021 Catawba County NC 07/20/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICES Sheet t of Z -.. DIVISION OF PUBLIC HEALTH,ENVIRONMENTAL HEALTH SECTION PROPERTY ID 8: _ ON-SITE WATER PROTECTION BRANCH COUNTY: SOIL/SITE EVALUATION KO-, 0 for ON-SITE WASTEWATER SYSTEM (Complete all fields in full) OWNER: 't:k L-ar,L& _ APPLICATION DATE /Z ADDRESS: DATE EVALUATED:jy47Z2 PROPOSED FACILITY: 3dr PROPOSED DESIGN FLOW(.1949): _stio PROPERTY SIZE: LOCATION OF SITE: /L34 2reway C41.E 44 PROPERTY RECORDED: WATER SUPPLY: ❑Private 0 Public 1 'ell 0 Spring 0 Other EVALUATION METHOD: ❑Au•erBoring E I'it ❑Cut TYPE OF WASTEWATER: ❑Sewage ❑Industrial Process D Mixed k 715.N kT r�aas .i, ra f " T� .e Atel f: :a4Nv+ {. ,1 +f1 , ) ��« �wi ix i h � i :. ., . t trtcWAiyIX gy� tr tuft. ric no+�1T ,1 AIIv l, an 7 . Ss . ca } �^ ,:ma , k y , n3 � " Ns }`rtt 4� f 7 ' uP ' C1 5k a7Wer, m, m a #' h4ki. % iu&y „ IS ag� "y S � 71,0� 44 d? ' p;/�i f#1 .,, nc V 4 ) ' a IFz�^ T`2{ T N -1" r 'Ir * 9 ?? , ' v i`F 48 / `i y lt V141.51' i t {1 •1}a . ^v� 9 y 1 r artJe4ao- w 1T � itibS n4 d�' �c �{a T dai l 7+ ir .f0a2} �li , GSIn t itigt it � a1 ,7,,51t0S se {w. ' E c#iiy , �;( h .S 'S "Kyr" � in.1 ifi' �� ' :rt ”ciltriTr ` y.:l�7 ;t,. (� i ce y� ' - : i c &fA7 i ,1 Jx a , �t{ � �.;, yA y�t �! �fii1 }� .4- ,vYq..,, ..1x ! ♦ , + t:$$ -^ 4i L akt*°t3 ;g} P! } Pvi .uit e).(TtiafwIr, h ! i ria c, Sr_ fif se 45 Pl SLr Lice Li& N4- id A 1 r,-rz ME c _ al- /pf • CD-3 Cr Sc m SC JC N j (f to../ Nr-t__ IfS S t c sct_ /ter _re c,. 6 L 2' t$- 2Y /-✓1l G. f n- „ O 2`I - Ye "AN1rC r ,1121in 1112-7/1 6!)-1: c-A-ek_CO— Pr St 4 6 n/q N I rU 1 is C. ? 2.Y .Sal MEM D. z >� 3 re-io Iffigerrillill A-)-I-- -t L F'it Si- d/Q --1-- r6 - zz W,46Ic. Sc ti se- W-,k r/r# 3� iv < �� Ps 4 � zz'3 S� 2z, s r �E 3t -sz- $-ak c- Th p-rty _ DESCRIPTION INITIAL SYSTEM REPAIR SYSTEM OTHER FACTORS(.1946): Available Space(1945) 14 Al SITE CLASSIFICATION(.1948): f System Type(s) lift7 EVALUATED BY: 5i-- g OTHER(S)PRESENT: ., Site LIAR 0,2C ©, 'La' COMMENTS: - . . ^� Updated February 2014 - .. . . . r —: SOIL/SITE EVALUATION Sheet Z of 2 (Continuation Sheet-Complete all field in full) DEPARTMENT OF HEALTH AND HUMAN SERVICES PROPERTY ID It: DIVISION OF PUBLIC HEALTH '107.30 DATE OF EVALUATION: 1/4l22 - ENVIRONMENTAL HEALTH SECTION COUNTY: ON-SITE WATER PROTECTION BRANCH , ,h4 1 '551:01i 1 " 7 i 5ArsY+ ,t++z 1 ,,, ' 3k'ir. it. r • :s t'4/,� , +t 1 f � P '�{I. a 'M° �`,ftl °.r m� � r`' , H 'k.z 1''' �y• +^'''i,;'''7 10 �' -as.S_�,i t3 Jys � ��Ca)�Y�� � t+R ivf_ -5""' '" yK`♦ Ti" t 1b k�'^ v' �'va+� t �^r�* TAN[,, s +�v y V fr yy�{{�,fo 1y�4 o :+a,J, 4§ }< ,>1 x p a�l�t] k . *.c )gf .. ;"T' a K. v t Tr > J'�i!'" r i.Y'a . au$:&sE tr � 1&' o p M hc4 i lfrq:C k4%r1AF t".!h 4_y {� k J l P 1 h !� , T-, 'Ft f -T > l 1 iek,v 3 -~ts` 4 "t p t�4�'cxi tF 4 .: ^:'' V gr e; ' ' : t .4 fte >,a .. yip,' ' tt r _. 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O-'8 met ILL SC- c. d ,&14 / If 8• ZZ A6fr c (ct sr <ly `to 6. z— t G�'� 13-Yo w �, c /i _re— /A. ra ,7/y, w? si4 , , , ,Ic w.I„Pm p.d e 994'r :n 1 a', i ' r 4. t Jr k' t '‘.• . f I, I I 1 COMMENTS: i Updated February 2014bk. _ —__ — - f .. ,.'a 1 • Y°-c3D 2-6 Catawba County Environmental Health • tows NNN..s._.___s_a5\\\\t\s" -"sr 845 . . 7 --"NNN"---1/2...„.„.......______V _as, jou d aSS ) i: • Qt 0 :4 P„ \ to B • /• F O oh, . , .„ J. W } g 9� w 0 96 / .r,is 1 7 41 .t.o :. ,... „---- • „., \\c,\\\:\::.\ lit\ i .ey — ---------, ,. . . ,. . Parcel:470001294409, 1634 BROWN CHAPEL 1 in=100ft RD CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatlal information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,Its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may • arise from this map/report product or the use thereof by any person or entity. , Copyright 2021 Catawba County NC 07/20/2022